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Individual

TAYLOR JAMES WADE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
14557 W INDIAN SCHOOL RD, GOODYEAR, AZ 85395-9243
(623) 229-7808
Mailing address
10002 N 7TH ST APT 1071, PHOENIX, AZ 85020-1754

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
LPT-033326
AZ

Other

Enumeration date
11/28/2023
Last updated
11/28/2023
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